NEVADA CENTER FOR NEURODIVERSITY LLC NPI 1902545189

NPI Information

NPI: 1902545189
Provider Name: NEVADA CENTER FOR NEURODIVERSITY LLC
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
3017 W CHARLESTON BLVD STE 54
LAS VEGAS, NV
ZIP 89102
Phone: (702) 675-4410
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NEVADA CENTER FOR NEURODIVERSITY LLC is an intellectual and developmental disabilities in Las Vegas, NV. NEVADA CENTER FOR NEURODIVERSITY LLC NPI is 1902545189. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3017 W CHARLESTON BLVD STE 54
LAS VEGAS, NV
ZIP 89102-927
Phone: (702) 675-4410

The provider's authorized official is Jennifer Karemly .
The authorized official title is Psychologist and has the following contact phone number (702) 580-4196.

The enumeration date for this NPI number is 6/3/2022 and was last updated on 6/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103G00000X	Clinical Neuropsychologist		No
2	103TC2200X	Psychologist	Clinical Child & Adolescent	No
3	103TP2701X	Psychologist	Group Psychotherapy	No
4	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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